*This offer is not valid for patients enrolled in Medicare, Medicaid, or other state or federal healthcare programs. Maximum savings limit applies; patient out-of-pocket expense may vary. See full Program Terms, Conditions, and Eligibility Criteria on card.

Pay as little as $30* for a 30-day prescription OR $30* for a 90-day prescription

Resource Request


Request samples for your office today

Free Trial


Free trial offer available; restrictions apply

For more information, please contact your Allergan representative or Allergan Customer Relations 1-800-678-1605

Prior Authorization Support

Online tools to help prescribers navigate the PA and medical necessity process


Patient Assistance Programs

The Allergan Patient Assistance Programs provide certain products to patients in the United States who are unable to afford the cost of their medication and who meet other eligibility requirements.

Contact Allergan Medical Information toll-free at 1-800-678-1605.